HomeMy WebLinkAbout2018-00331 - plumbing CITY OF ORONO I 111111011
1 1 I1I 1 1 110 1II IIII
* 1 18 133 I *
2750 KELLEY PARKWAY DATE ISSUED: 03/23/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3051 FARVIEW LA
PIN : 04-117-23-33-0009
LEGAL DESC : FARVIEW
: LOT 007 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: LAVATORY
VALUATION OF PLUMBING 375
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.19
DELANEY,DAVID&FRANCINE TOTAL 50.19
3051 FARVIEW LA Payment(s)
LONG LAKE,MN 55356- CHECK 5142 50.19
OWNER
DELANEY,DAVID&FRANCINE
3051 FARVIEW LA
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
,tz_ Pe.",4---.
Applicant Permitee Signature ) Date / Issuey Signature Date
FUN ' C. ,'`�_.1n1\;d uS
p City of Orono FOR CI u �pDJ,Y 7
/ N� P.O.Box 66 Date Received: o��Y 0
�� I Crystal275o KelleyaParkway Permit# per- /! '—0033/
Bay,MN 55323
r' (952)249-4600—Main Approved B
��'"A io`�`' (952)249-4616—Fax PP y.
Amount$:
CITY OF ORONO— PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.aov/CCLD/PDF/pe plumbplanrevapp.pdf
GENERAL INFORMATION
1, You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600.
(24-48 hour notice required)
TYPE OF PERMIT(Check All That Apply)
esidential
Commercial (Approval Required) [Backflow Device: AVB D PVB]
/❑ New ❑Additional ❑ Repairs g Replace
❑ In Accessory Structure?
"You will needpnor approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site I Owner Information:
Site Address: 3° lk) j N1
Owner: -.DV 1. Meiling Address: "3
City: 0 IN 0 Zip: �� 3
Home Phone: � �2-"13 910 Alternate Phone:
Contractor Information:
Cobtractor: Contact PeVsoh:
Address: State Bond #:
City: Zip: Expiration Date:
Phone: Alternate Phone: '
C Insurance— Current:
Page 1
,"
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory k Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
IDishwasher Wet Bar
Sillcocks Miscellaneous
a s
:FEE ;'
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
O
3 °) S x .0125 $ 50°_
(contract price) (minimum $50.00)
2. STATE SURCHARGE
3 �► S x .0005 $ Q
(contreact pt1•ce)
3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 5 2
v .0
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to
the customer for the work done. If any materi f, equipment, labor or instaffattons are furnished by the
owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
P" , R+� 1
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with theordinances of the • .nd the regulations of the State of Minnesota, and
certifies that all statements made on th' ,•• 'cation :re complete, true and correct.
J / 3i it
Applicant's Signature: / Date:
Building Official/ Inspector: Date:
Page 2
1 i, ,_5
pp�� DAT TIME
CITY OF ORONO }'� CALLED IN l
INSPECTION NOTICE SCHEDULED /8f/
PERMIT NODI k-0-0 S a g C PLETED
ADDRE3 U5/ /7' !J/ ] l_GL.li1„2J
OWNER M. 0 / // A-0. . LEPHONE NO. ‘''1' E-3/5 i-
CONTRACTOR rXLQ,
•
DESCRIPTION / nP l b
W ❑ FOOTING 0 DEMO-FINAL / ❑ SEPTIC AL
11.
❑ POURED WALL 42r.E.LUMBING RI ❑ EXC../(WADING/FILLING
C ❑ FOUNDATION DRAIN TILE ElPLUMBING FINAL ElTRE EMOVAL
❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
QW ❑ FINAL ElWATER HOOK-UP ElFOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACT TO MEET_YOU;_,_YES
_--------______A----
----
_V y MMEN �!$ ` 00(9-Z00(9-Z - 1C - 4 74-411 /cet Gt) .77-
er�ft 9.9 - /!6n ,�• 6akes. - ✓,e- cb,� .1/ t
_c 6!g - G� 3/ - fttp ve /� - / 4 ,( —
0 l
4. .,50(• 1.1e3,13 PVG ice.A• ky i-,7,..5.5'ec. .t c,ce X '
Q , e <- -7b e'. 4 I;/lot GG_ - ---\__�
- �D/( - GY1 29 - ticaPe,c). - / -i -
z h.3 al411- - le* iAlva/te9 ' .>f 6 e'nI oZ
W
CC C U/P G. jo ziu F rt s 5 Gc7 / 4-d C/e-60-,
J a q. 4:=1- Yil&c,4. ai!c 4.-4 6 S 1ti yob
W I • • SFACTORY:PROCEED b /Zitf,"�I PROJECT COMPLETE
O1(C+onECT WORK&PROCEED / �.�.e .4. Q),J_ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION • �C TEMPORARY
V BEFORE COVERING C.a/tt/Acts, PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. N/
1?
White Copyllnspector's File Canary CopylSite Notice